Provider Demographics
NPI:1053697912
Name:BANDA, DARLINDA K (EDS, MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DARLINDA
Middle Name:K
Last Name:BANDA
Suffix:
Gender:F
Credentials:EDS, MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4188 JOHN GARDNER RD
Mailing Address - Street 2:
Mailing Address - City:KERSHAW
Mailing Address - State:SC
Mailing Address - Zip Code:29067-9178
Mailing Address - Country:US
Mailing Address - Phone:803-834-8284
Mailing Address - Fax:803-475-7833
Practice Address - Street 1:4188 JOHN GARDNER RD
Practice Address - Street 2:
Practice Address - City:KERSHAW
Practice Address - State:SC
Practice Address - Zip Code:29067-9178
Practice Address - Country:US
Practice Address - Phone:803-834-8284
Practice Address - Fax:803-475-7833
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9129101YM0800X
SC6172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health